Individual provider · Type 1 NPI

Gina Marie Divincenzo, LCSW

Clinical Social Worker · Syosset, NY

NPI number 1912066416 Active

Practice location

175 Jericho Tpke, Ste 213
Syosset, NY 11791-4501

Call (631) 316-3965 Map

Mailing address

44 Kelsey Ave
Huntington Station, NY 11746-1136

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPR058073-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1912066416

Gina Marie Divincenzo, LCSW's National Provider Identifier is 1912066416, issued on Dec 8, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Syosset, NY. The record was last updated on Sep 1, 2016.